Kutaki Siddha Ghrit's effect on psoriasis: A case study.
Journal name: World Journal of Pharmaceutical Research
Original article title: The effect of kutaki siddha ghrit on kitibh kushtha (psoriasis) –a single case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Vaidya Dubey, Shivanikumari, Rajesh and Vaidya Vinayak V. Tayade
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: The effect of kutaki siddha ghrit on kitibh kushtha (psoriasis) –a single case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202013-19052
Download the PDF file of the original publication
Summary of article contents:
1) Introduction
The study explores the effects of Kutaki Siddha Ghrit on Kitibh Kushtha, a form of psoriasis characterized by skin lesions. Despite advances in modern medicine, there remains a high incidence of relapses in psoriasis cases. Kitibh Kushtha is identified as a type of Kshudra Kushtha, with dominant doshas being Vata and Kapha. Traditional Ayurvedic approaches, including Shodhan and Shaman methods, are emphasized for managing this condition, which has been noted in patients for centuries.
2) Understanding Kitibh Kushtha
Kitibh Kushtha is categorized under Kushtha, a broader Ayurvedic classification for skin diseases, and is often connected to psoriasis. The etiology is attributed to factors such as excess alcohol intake, dietary habits, and disturbances in various doshas, primarily seeing an increase in Vata and Kapha. The condition is marked by an abnormal proliferation of skin cells, leading to distinct lesions, and represents a challenge despite the availability of modern treatments. This highlights the need for effective management alternatives, where traditional approaches may provide beneficial results.
3) The Role of Kutaki Siddha Ghrit
The study specifically investigates Kutaki Siddha Ghrit, an Ayurvedic preparation made from the Kutaki herb. This preparation was given to a 66-year-old male patient suffering from Kitibh Kushtha, who had a history of chronic alcohol consumption. The rationale for using Kutaki is its Pitta-virechana property, which helps balance the aggravated doshas and heals the liver, which can be adversely affected by excessive alcohol intake. The administration of Kutaki Siddha Ghrit aimed to mitigate the symptoms of psoriasis through a holistic approach addressing both the skin condition and underlying liver dysfunction.
4) Observations and Outcomes
Clinical observations indicated significant improvements in the patient's condition after the treatment with Kutaki Siddha Ghrit. Notable reductions were observed in the severity of lesions, itching, and dryness of the skin. Before treatment, symptoms such as raktim shyaav mandal, kandu (itchiness), and twak rukshta (dry skin) were prevalent; however, these symptoms decreased notably following the administration of the herbal remedy. These results support the notion that traditional Ayurveda may successfully complement modern medical treatments for chronic skin diseases like psoriasis.
5) Conclusion
The findings from this single case study suggest that Snehpana with Kutaki Siddha Ghrit can be a significant intervention in managing Kitibh Kushtha. The reduction in symptoms and potential prevention of relapse emphasizes the efficacy of this Ayurvedic approach. More extensive trials are encouraged to validate these preliminary results and to further establish the role of traditional remedies in treating chronic skin conditions effectively. This research contributes to the understanding of integrating Ayurvedic practices within modern healthcare frameworks for comprehensive patient management.
FAQ section (important questions/answers):
What is the primary aim of the treatment discussed in the study?
The primary aim of the treatment is to bring the Dhatu of the body into a Saamya-Avastha, using methods like Shodhan and Shaman to address imbalances in the doshas.
What condition is Kitibh Kushtha often compared to in modern medicine?
Kitibh Kushtha is often correlated with psoriasis, characterized by increased proliferation of keratinocytes and inflammation, leading to distinct epidermal changes.
What treatment method was used for the patient suffering from Kitibh Kushtha?
The patient was treated with Kutaki Siddha Ghrit, administered at a dosage of 20 mL on an empty stomach for 15 days to address symptoms.
What were the main symptoms observed before treatment?
Before treatment, symptoms included significant redness in lesions, intense itching, and dryness of the skin, all indicative of Kitibh Kushtha.
What were the key results observed after treatment with Kutaki Ghrit?
After treatment, there was a significant reduction in the lesions, with improvements noted in symptoms such as skin dryness and itching.
What role did Kutaki play in the treatment of Kitibh Kushtha?
Kutaki acted as a Pittavirechak, helping to alleviate aggravated Pitta dosha, improve liver function, and thereby reduce the symptoms of Kitibh Kushtha.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Kutaki Siddha Ghrit's effect on psoriasis: A case study.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Kushtha (Kustha):
Kushtha is a Sanskrit term used in Ayurveda to refer broadly to skin diseases, encompassing various conditions beyond leprosy. It highlights the Ayurvedic perspective on skin disorders, emphasizing their relation to doshas and tissue imbalances, and serves as an identifier for conditions like Kitibh Kushtha, which is associated with psoriasis.
2) Kutaki:
Kutaki, known for its medicinal properties in Ayurveda, is a key herb used in treatments for various conditions, including Kitibh Kushtha. It possesses Pitta-virechan (cooling) properties, which help balance excessive Pitta dosha, making it effective in alleviating symptoms related to skin diseases aggravated by Pitta dosha imbalances.
3) Dosha (Dosa):
In Ayurvedic medicine, doshas represent the three fundamental energies—Vata, Pitta, and Kapha—that govern physiological and psychological processes. The balance of these doshas is crucial for health. In the case of Kitibh Kushtha, the dominance of Vata and Kapha doshas influences the manifestation and treatment of the condition.
4) Pitta:
Pitta is one of the three doshas in Ayurveda, symbolizing fire and transformation. It governs metabolic functions, digestion, and energy production in the body. In the context of skin diseases like psoriasis, an aggravated Pitta dosha can lead to inflammation and other symptoms, necessitating treatments like Kutaki Siddha Ghrit.
5) Study (Studying):
The study emphasizes the clinical evaluation of Kutaki Siddha Ghrit in treating Kitibh Kushtha. It serves as a case study to assess the herb's efficacy in a real-world clinical setting, contributing to the body of Ayurvedic research and suggesting therapeutic options for chronic skin conditions.
6) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian holistic healing system that encompasses a balanced approach to physical, mental, and spiritual health. It emphasizes the interconnectedness of body, mind, and environment, offering strategies for maintaining health and treating diseases through diet, herbs, and lifestyle modifications.
7) Siddha:
Siddha refers to a classification of Ayurvedic formulations typically created by combining herbs with fats, like ghee, enhancing their therapeutic effects. In this case, Kutaki Siddha Ghrit demonstrates the application of Siddha to deliver effective treatment for conditions characterized by Pitta disturbances and skin issues.
8) Dhatu:
Dhaatu refers to the fundamental biological tissues of the body in Ayurveda, crucial for maintaining health and vitality. Each Dhaatu has unique properties and functions, and their balance is essential to prevent diseases, including skin conditions like Kitibh Kushtha characterized by Dhatu disturbances.
9) Vata:
Vata is one of the primary doshas associated with air and ether elements in Ayurveda, governing movement, communication, and physiological functions. High prominence of Vata in patients can lead to dry skin and exacerbate conditions like Kitibh Kushtha, necessitating treatments that balance its qualities.
10) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha embodies fire and metabolic processes within the body, influencing digestion and body temperature. Its imbalance, often aggravated by lifestyle factors like alcohol consumption, is critical in the context of Kitibh Kushtha. Understanding Pitta-dosha is vital for implementing effective Ayurvedic treatments.
11) Vaidya:
Vaidya is a term for an Ayurvedic practitioner or physician skilled in traditional medicine systems. They diagnose and treat conditions using herbal formulations, dietary recommendations, and lifestyle modifications, such as the use of Kutaki Siddha Ghrit for managing skin diseases like Kitibh Kushtha.
12) Rakta:
Raktha signifies the blood component within the Ayurvedic framework. Its quality and balance play a critical role in overall health and in the manifestation of skin diseases. In Kitibh Kushtha, addressing Raktha disturbances is essential to effectively manage the condition.
13) Sign:
Signs in clinical practice refer to the observable evidence of a disease or health condition. In this study, the specific signs of Kitibh Kushtha, such as Raktim Shyaav Mandal and Kandu, were recorded before and after treatment, helping gauge the effectiveness of Kutaki Siddha Ghrit.
14) Observation:
Observation is crucial in clinical practice, involving the systematic assessment of patient signs, symptoms, and responses to treatment. In this study, observations were made regarding the changes in the patient's condition following the administration of Kutaki Siddha Ghrit, contributing to the research on treatment effectiveness.
15) Samprapti:
Samprapti is the Ayurvedic concept of understanding the pathogenesis of a disease. It outlines the progression and factors contributing to a particular condition. In Kitibh Kushtha, analyzing Samprapti aids in identifying the underlying causes, facilitating targeted interventions through Ayurvedic principles.
16) Lakshana (Laksana):
Lakshanas, or the signs and symptoms, are critical in diagnosing and determining the treatment plan for diseases. Identifying Lakshanas associated with Kitibh Kushtha allows Ayurvedic practitioners to tailor treatments that specifically address the unique manifestations of the condition.
17) Medicine:
Medicine relates to the science and practice of diagnosing, treating, and preventing diseases. In this document, it emphasizes the Ayurvedic approach to medicine, focusing on natural remedies, lifestyle changes, and holistic methods to restore balance and health in individuals with conditions like Kitibh Kushtha.
18) Disease:
Disease indicates a pathological condition characterized by disruption of normal bodily functions. The text examines Kitibh Kushtha (psoriasis) as a chronic skin disease, exploring its relationship with dosha imbalances and the therapeutic potential of Ayurvedic treatments to restore health.
19) Kshudra (Ksudra):
Kshudra is a term used in Ayurveda to describe minor or lesser ailments. In the context of Kushtha, Kshudra Kushtha refers to conditions that, while potentially serious, are often treatable through lifestyle and dietary interventions, such as those derived from Ayurvedic wisdom.
20) Vikriti (Vikrti):
Vikriti refers to the state of imbalance or disease within an individual, contrasting with Prakriti, the inherent constitution. Understanding a patient's Vikriti is essential for effective Ayurvedic treatment as it determines the appropriate herbs, therapies, and lifestyle changes needed to restore health.
21) Mandal:
Mandal refers to a circular area or region affected by disease. In the case of Kitibh Kushtha, the description of Raktim Shyaav Mandal indicates a specific observable change in the skin, signifying the condition's presence and guiding treatment decisions.
22) Kapha:
Kapha is the dosha representing earth and water elements in Ayurveda. It provides stability and structure to the body, responsible for lubrication and moisture. Imbalances in Kapha can worsen skin conditions like Kitibh Kushtha, necessitating treatments that help restore equilibrium among the doshas.
23) Road:
Road refers to the path or course of treatment taken to manage a health condition. In the Ayurvedic context, it implies the methodological approach practitioners take, including dietary changes, herbal formulations, and lifestyle adjustments to combat diseases like Kitibh Kushtha effectively.
24) Inflammation:
Inflammation is a vital response of the body to injury or infection but can become chronic and problematic in conditions like psoriasis. In the raised keratinocytes of Kitibh Kushtha, inflammation reflects the underlying dosha imbalances that require addressing through appropriate Ayurvedic treatment strategies.
25) Raktadhatu (Rakta-dhatu):
Rakta-dhatu refers to the blood tissue in Ayurveda, vital for nourishing other tissues and maintaining overall health. An imbalance or disturbance in Rakta-dhatu can lead to various skin conditions, emphasizing the need for treatments that restore its proper function to alleviate symptoms.
26) Abhishyandi (Abhisyandi):
Abhishyandi refers to substances that cause obstruction or heaviness within bodily channels. In Ayurveda, certain foods or practices may be categorized as Abhishyandi; their consumption could contribute to the aggravation of doshas and manifest in skin conditions like Kitibh Kushtha.
27) Discussion:
Discussion encompasses the analysis and interpretation of treatment outcomes and findings. In this case study, the Discussion section evaluates the results seen from the administration of Kutaki Siddha Ghrit, exploring its efficacy and possible mechanisms for improvement in Kitibh Kushtha.
28) Vaivarṇya (Vaivarnya, Vaivanrya):
Vaivarnya indicates a change in the natural color of the skin, often observed in various skin diseases. In Kitibh Kushtha, symptoms like Vaivarnya denominate the skin's altered appearance, which is essential for diagnosis and guides practitioners in their treatment approach.
29) Prishtha (Prstha):
Prishtha refers to the back area, which may be a specific region of the body affected by certain skin conditions, including Kitibh Kushtha. Symptoms may present in unique areas, making it vital for practitioners to consider the location during evaluation and treatment planning.
30) Samhita:
Samhita refers to a classic text or compilation in Ayurveda that encompasses traditional knowledge and practices. Texts like the Sharangdhar Samhita provide foundational guidelines for formulations like Kutaki Siddha Ghrit, serving as references for practitioners in treatment methodologies.
31) Utpatti:
Utpatti denotes the emergence or development of a condition. In Ayurveda, understanding Utpatti is crucial for recognizing how diseases like Kitibh Kushtha arise, providing insights into appropriate therapeutic approaches and lifestyle modifications needed for effective treatment.
32) Kalpana:
Kalpana refers to the preparation or formulation process in Ayurveda, specifically relating to how medicinal compounds are combined and processed. The formulation of Kutaki Siddha Ghrit is based on traditional Kalpana methods, enhancing its therapeutic benefits for treating conditions like psoriasis.
33) Snigdha:
Snigdha describes a quality of being oily or unctuous. In Ayurvedic practice, Snigdha substances help balance dry and rough conditions, making them effective for skin ailments like Kitibh Kushtha. The use of fatty preparations, such as ghee, exemplifies this principle in treatment.
34) Avastha:
Avastha translates to condition or state, particularly in regards to health or disease. In the context of Kitibh Kushtha, recognizing the patient's Avastha helps practitioners tailor treatment plans that address current imbalances and support a return to health.
35) Leprosy:
Leprosy is historically one of the conditions categorized under Kushtha, sparking significant social stigma. In Ayurveda, it's crucial to differentiate conditions like psoriasis (Kitibh Kushtha) from leprosy, as treatment protocols and patient management can significantly diverge based on the nature of the disease.
36) Ghrita (Ghrta):
Ghrita, or ghee, is a clarified butter central to many Ayurvedic formulations. Its properties enhance the absorption of herbal preparations and provide nourishment. In this study, Ghrita is vital for its role in providing therapeutic effects and alleviating symptoms of skin conditions when combined with Kutaki.
37) Dadhi:
Dadhi refers to yogurt or curd in Ayurveda, considered heavy and potentially aggravating to certain doshas when consumed in excess. Its classification as Abhishyandi demonstrates its potential to worsen the symptoms of conditions like Kitibh Kushtha, guiding dietary recommendations in treatment plans.
38) Tikta:
Tikta refers to the bitter taste associated with certain herbs and foods in Ayurveda. This taste is believed to have purifying and detoxifying properties and can be beneficial in balancing Pitta, which is particularly important in treating conditions characterized by inflammation, like Kitibh Kushtha.
39) Matra:
Matra denotes the dosage or quantity of a medication or formulation administered to a patient. In this study, a Matra of 20 mL of Kutaki Siddha Ghrit was given, highlighting the importance of appropriate dosing in achieving desired therapeutic outcomes in Ayurvedic treatments.
40) Ushna (Usna):
Ushna indicates the quality of heat or warmth in Ayurveda. It relates to the heating nature of certain doshas and substances. In the context of Pitta dosha, Ushna qualities can exacerbate inflammation and discomfort, making it essential to apply cooling remedies like Kutaki for treatment.
41) Kandu (Kamdu):
Kandu refers to itching, a common symptom in various skin disorders, including Kitibh Kushtha. Its presence indicates internal disturbances and is a sign for practitioners to focus on treatments that alleviate discomfort and promote skin healing, demonstrating the interconnectedness of symptoms and underlying imbalances.
42) Basti:
Basti is an Ayurvedic therapeutic procedure involving the administration of medicinal oils or decoctions through the rectum, aimed at balancing doshas. It is often utilized in conditions requiring deep internal cleansing, complementing oral treatments like Kutaki Siddha Ghrit for effective management of diseases.
43) Varna:
Varna denotes the color or complexion of the skin, which may change due to various skin disorders. In Ayurveda, assessing Varna is essential for diagnosis and understanding the impact of diseases like Kitibh Kushtha, guiding practitioners in their treatment approaches.
44) Table:
Table refers to the organized presentation of data, often used to summarize and illustrate findings in a study. In this document, a table is presented to visually compare the signs and symptoms before and after treatment, enhancing the clarity and impact of the study's results.
45) Guru:
Guru refers to heavy or thick substances in Ayurveda, which can influence digestive capacity and dosha balance. Foods characterized as Guru may contribute to dosha imbalances, making their classification important when advising diet modifications for patients with conditions like Kitibh Kushtha.
46) Agni:
Agni signifies digestive fire in Ayurveda, crucial for metabolism and overall health. A balanced Agni ensures proper digestion and transformation of substances in the body. Imbalances in Agni can lead to toxicity and diseases, necessitating treatments to restore its optimal function.
47) Hetu:
Hetu translates to cause or reason and is essential in Ayurvedic diagnosis and treatment formulation. Identifying Hetus related to Kitibh Kushtha, such as chronic alcohol consumption, allows practitioners to develop targeted treatment strategies that address the root cause of the condition.
48) Katu:
Katu represents the spicy or pungent taste in Ayurveda, stimulating digestion and appetite. It can aggravate Pitta dosha, so its use must be cautious in conditions like Kitibh Kushtha, where managing Pitta levels is crucial in the treatment process.
49) Medas (Meda, Medash):
Meda refers to the fat tissue or adipose tissue in Ayurveda. Its quality and balance are significant for overall health. An imbalance can contribute to skin conditions, emphasizing the need for dietary and lifestyle adjustments to maintain healthy Meda for skin integrity and wellness.
50) Mala:
Mala refers to the waste products or impurities in Ayurveda that can accumulate in the body and lead to disease. Understanding the types of Mala relevant to Kitibh Kushtha, such as toxins from poor digestion, helps guide cleansing and detoxification strategies in Ayurvedic practices.
51) Guna:
Guna translates to qualities or characteristics of substances and foods as per Ayurveda. Each Guna influences how the body responds to these substances. Understanding Guna is essential for practitioners when prescribing treatments to ensure they align with the patient's individual constitution and disease state.
52) Food:
Food plays a vital role in Ayurveda, influencing health and well-being through its qualities and effects on the doshas and dhatus. The dietary recommendations in managing Kitibh Kushtha focus on balancing the doshas, emphasizing the importance of food as medicine in Ayurvedic healing.
53) Drug:
Drug refers to medicinal substances used for treatment, whether derived from plants, minerals, or synthetic sources. In Ayurveda, drugs like Kutaki Siddha Ghrit are formulated based on ancient practices, highlighting the synergy between traditional medicine and modern therapeutic needs, especially in chronic conditions.
54) Male:
Male, in this study, refers to the gender of the patient involved in the case study of Kitibh Kushtha treatment. Gender can influence disease presentation, progression, and response to treatment, underscoring the need for personalized approaches in Ayurvedic healthcare.